ASAM Pocket Guidelines and Patient Guide

Stimulant Use Disorder Patient Guide

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© 2024 American Society of Addiction Medicine (ASAM.org ) and American Academy of Addiction Psychiatry (AAAP.org ). All rights reserved. 6 TREATMENT OVERVIEW Behavioral Treatment • Contingency Management (CM): CM is the most effective treatment currently available to treat stimulant use disorder. CM is an evidence-based treatment in which patients get small rewards to encourage positive behaviors. Cash, vouchers, or prizes are given for treatment participation or progress. CM can be combined with other behavioral treatments including individual counseling, group counseling, cognitive behavioral therapy (CBT), the community reinforcement approach (CRA), and the Matrix Model. • Cognitive Behavioral Therapy (CBT): During CBT trained clinicians help the patient to change negative thought patterns. Patients develop skills to change unwanted behavior patterns and cope with threats to recovery. CBT can be provided in individual or group therapy. • Community Reinforcement Approach (CRA): During CRA, clinicians work closely with patients to build a new way of living without substance use that is more rewarding than their life with substance use. CRA helps patients discover a healthier way of living that brings them enjoyment. • Matrix Model: The Matrix Model of addiction treatment provides individual counseling, CBT, family education, and social support groups. Patients are encouraged to participate for 16 weeks of intensive treatment. CONTINUING CARE Addiction is a chronic illness. Patients benefit from long-term care which often begins with more intensive treatment. Patients transition to less intensive care and recovery support over time. When the patient has achieved stable recovery, they should check in with their clinician once every few months to monitor their recovery and re-start care if needed.

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